Individual
ALEXA RYAN JULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
675 3RD AVE, NEW YORK, NY 10017-5704
(212) 204-5190
Mailing address
22 VASSAR PL, ROCKVILLE CENTRE, NY 11570-2829
(516) 547-0004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024059
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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